CN101668473A - Medical information management network system - Google Patents

Medical information management network system Download PDF

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Publication number
CN101668473A
CN101668473A CN200880013244A CN200880013244A CN101668473A CN 101668473 A CN101668473 A CN 101668473A CN 200880013244 A CN200880013244 A CN 200880013244A CN 200880013244 A CN200880013244 A CN 200880013244A CN 101668473 A CN101668473 A CN 101668473A
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server
medical information
mentioned
information
management network
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Granted
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CN200880013244A
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CN101668473B (en
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小田康晴
今井和纪
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Olympus Corp
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Olympus Medical Systems Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/041Capsule endoscopes for imaging
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00Administration; Management
    • G06Q10/06Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00ICT specially adapted for the handling or processing of medical images
    • G16H30/20ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00011Operational features of endoscopes characterised by signal transmission
    • A61B1/00016Operational features of endoscopes characterised by signal transmission using wireless means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/05Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion

Abstract

In order to build a network system, diagnosis results should be surely stored in a medical information management server as a source for supplying patient information and examination information. Themedical information management server S adds an examination ID assigned by the medical information management server and a server ID of the medical information server S to the patient information andthe examination information when transmitting the information to work station A as a search source(step S102). A work station A adds an examination ID assigned by the medical information management server S of the search destination and a server ID of the medical information management server S to the patient information and the examination information when transferring the information to a reception device R (step S103). The work stations A to D use the accompanying server ID to control whether to enable/disable an access operation to the medical information management server S, T sides via the work stations A to D from the reception device R side after completion of the examination.

Description

Medical information management network system
Technical field
The present invention relates to a kind of medical information management network system.
Background technology
In recent years, in the field of endoscope, a kind of capsule type endoscope that possesses camera function and radio communication function has appearred.In addition, a kind of following capsule-type endoscope system has been proposed: use above-mentioned capsule type endoscope to take the image of the internal organs inside of subject, receive captured image successively by receiving system, show the tested intravital image that receives by receiving system successively by image display devices such as work stations, thereby to observing (inspection) in the subject.
In above-mentioned capsule-type endoscope system, for example as shown in figure 11, be transferred to receiving system r manually to be input to by step S2 as the patient information among the work station a of image display device, inspection message by step S1.After unloading receiving system r from work station a and this receiving system r being installed on the body surface of subject, the image (step S3) of the most about 8 hours parts (about 60000) that this receiving system r storage sends over from the capsule type endoscope of being swallowed.After taking by capsule type endoscope, unload receiving system r from subject, reconnect to (step S4) on the work station.At this, exist under the situation of many work stations, receiving system r with which work station can both be connected.Therefore, for example when receiving system r was connected with work station b, this work station b received the transmission that is stored in a large amount of image in the receiving system r, carries out the making (step S5) of image observation and diagnosis report.
In the past, the image display device of this work station a, b etc. moves independently, and the function that does not have managing patient information (for example, with reference to patent documentation 1), therefore when each use capsule type endoscope is diagnosed, all need wait and import patient information, inspection message and they are transferred to receiving system, comparatively trouble with the manual keyboard operation by work station.
Therefore, if possess managing medical information server that patient information, inspection message by inputs such as client terminals are managed and diagnostic result etc. is managed and image display device be connected to and make up medical information management network system on the managing medical information server by network, then image display device can utilize input to be set in patient information, the inspection message that comes quilt to be managed in the managing medical information server, thereby improves convenience.
Patent documentation 1: TOHKEMY 2006-61627 communique
Summary of the invention
The problem that invention will solve
Yet, work station is being connected under the situation that makes up network system on the managing medical information server by network, as mentioned above, receiving system with which work station can both be connected, therefore exist under the network system environment of many managing medical information servers, receiving system may not be connected to the work station that is connected with the managing medical information server that is used to preserve diagnostic result, be saved in other managing medical information server and diagnostic result might be covered.
For example, suppose a kind of medical information management network system as shown in figure 12.Be made as among Figure 12: two managing medical information server s, t is configured to is connected with different network n1, n2, be connected with work station a, b on the network n1 of managing medical information server s, be connected with work station c, d on the network n2 of managing medical information server t.At this, managing medical information server s, t for example are arranged on internal medicine, the surgery in the same hospital, respectively the patient information that is transfused to independently, inspection message etc. are managed, and give different inspection identifying information (checking ID) as inspection message each inspection.
Under this system environments, at first, before carrying out splanchnoscopy, by client terminal etc. to managing medical information server s input set (step S11) such as patient information, inspection messages.Then, before carrying out splanchnoscopy, for example managing medical information server s is retrieved and obtain desirable patient information, inspection message (comprise and check ID) (step S12), patient information, the inspection message that is obtained is transferred to receiving system r (step S13) by work station a.Unload receiving system r from work station a and also this receiving system r is installed on the body surface of subject, afterwards, the image (step S14) of the most about 8 hours parts (about 60000) that the capsule type endoscope that this receiving system r storage is swallowed from quilt sends over.Utilizing after capsule type endoscope takes, unloading receiving system r and this receiving system r is reconnected on the work station from subject.
At this, exist under the situation of many work stations, receiving system r with which work station can both be connected.Therefore, if under receiving system r is connected to situation on work station a or the work station b, then there is not special problem, but when receiving system r for example is connected on the work station c (step S15), work station c receives the transmission that is stored in the great amount of images among the receiving system r, carries out the making (step S16) of image observation and diagnosis report.And when this work station c is transferred to diagnosis report on the managing medical information server t (step S17), managing medical information server t uploads (upload) and registers the diagnosis report that is transmitted.At this moment, the diagnosis report that is transmitted is the diagnosis report of not registering patient information, inspection message in managing medical information server t, cause covering and unique multiple other patient's of inspection ID who gives inspection ID hurdle in managing medical information server t, thereby might make a mistake the patient.
The present invention finishes in view of the above problems, and its purpose is to provide a kind of can make the medical information management network system of preserving diagnostic result as the managing medical information server of the supply source of patient information, inspection message reliably in order to improve on the basis that makes up network system with the managing medical information server to the convenience of image display device input patient information, inspection message.
The scheme that is used to deal with problems
In order to address the above problem and to achieve the goal, medical information management network system involved in the present invention is characterised in that, possess: the managing medical information server, it is given the server identifying information independently, patient information, inspection message and diagnostic result are managed, receiving system, it is used to store by tested in-vivo image that is directed to tested intravital subject introducing device shooting and the information that receives from this subject introducing device; And image display device, it is connected with above-mentioned managing medical information server by network, and obtains tested in-vivo image that is stored in the above-mentioned receiving system and the information that receives from above-mentioned subject introducing device.
In addition, medical information management network system involved in the present invention is characterised in that in foregoing invention, above-mentioned server identifying information is the information that generates according to above-mentioned managing medical information hardware of server information (hardware information).
In addition, medical information management network system involved in the present invention is characterised in that in foregoing invention, above-mentioned hardware information is a MAC Address.
In addition, medical information management network system involved in the present invention is characterised in that in foregoing invention, above-mentioned server identifying information is the IP address.
In addition, medical information management network system involved in the present invention is characterised in that, in foregoing invention, before importing to above-mentioned subject introducing device in the subject, above-mentioned image display device is set the server identifying information that obtains from the above-mentioned managing medical information server that connects by above-mentioned network in above-mentioned receiving system, patient information or inspection message, after checking, above-mentioned image display device obtains the server identifying information simultaneously when obtaining the information of tested in-vivo image and above-mentioned subject introducing device from this receiving system, patient information or inspection message.
In addition, medical information management network system involved in the present invention is characterised in that in foregoing invention, above-mentioned image display device is stored the server identifying information that obtains from above-mentioned managing medical information server.
In addition, medical information management network system involved in the present invention is characterised in that, in foregoing invention, above-mentioned image display device is when being connected with the above-mentioned receiving system with server identifying information that this image display device do not store, and refusal receives information, server identifying information, patient information or the inspection message of tested in-vivo image, above-mentioned subject introducing device from this receiving system.
In addition, medical information management network system involved in the present invention is characterised in that, in foregoing invention, above-mentioned image display device is warned demonstration to the user when being connected with the above-mentioned receiving system with server identifying information that this image display device do not store.
In addition, medical information management network system involved in the present invention is characterised in that in foregoing invention, above-mentioned image display device is to above-mentioned managing medical information server transmission diagnostic result.
In addition, medical information management network system involved in the present invention is characterised in that, in foregoing invention, above-mentioned image display device is when above-mentioned managing medical information server transmits diagnostic result, transmit the server identifying information that obtains from above-mentioned receiving system simultaneously, above-mentioned managing medical information server is under server identifying information that is transmitted and the inconsistent situation of server identifying information that self kept, and rejection is from the data of above-mentioned image display device.
In addition, medical information management network system involved in the present invention is characterised in that, in foregoing invention, above-mentioned image display device is when above-mentioned managing medical information server transmits diagnostic result, transmit the server identifying information that obtains from above-mentioned receiving system simultaneously, above-mentioned managing medical information server is warned above-mentioned image display device under server identifying information that is transmitted and the inconsistent situation of server identifying information that self kept.
In addition, medical information management network system involved in the present invention is characterised in that, in foregoing invention, in the medical information management network system that has a plurality of above-mentioned managing medical information servers with different server identifying informations, the above-mentioned managing medical information server of the server identifying information that above-mentioned image display device retrieval maintenance is identical with the server identifying information that this image display device is kept, and this managing medical information server transmission diagnostic result to retrieving.
In addition, medical information management network system involved in the present invention is characterised in that in foregoing invention, the information that receives from above-mentioned subject introducing device is the individual identification information of this subject introducing device.
In addition, medical information management network system involved in the present invention is characterised in that in foregoing invention, above-mentioned diagnostic result is part or all image of selecting the tested in-vivo image that obtains from above-mentioned receiving system.
In addition, medical information management network system involved in the present invention is characterised in that, in foregoing invention, above-mentioned diagnostic result is the report of the note (comment) that records the user.
The effect of invention
According to medical information management network system involved in the present invention, play following effect: can grasp managing medical information server all the time according to the server identifying information as the supply source of patient information, inspection message, thereby can avoid managing medical information server transmission beyond the supply source to patient information, inspection message and the situation of preserving diagnostic result reliably, thus can be in as the managing medical information server of the supply source of patient information, inspection message the pairing diagnostic result of management.
Description of drawings
Fig. 1 is the sketch map of an example of the related capsule-type endoscope system of expression embodiments of the present invention 1.
Fig. 2 is the synoptic diagram of an example of structure of the medical information management network system of expression embodiment 1.
Fig. 3 is the block diagram of the summary structure example of expression managing medical information server.
Fig. 4 is the block diagram of the summary structure example of expression work station.
Fig. 5 is the block diagram of the summary structure example of expression receiving system.
Fig. 6 is the block diagram of summary structure example of the managing medical information server of expression embodiment 2.
Fig. 7 is the block diagram of the summary structure example of expression receiving system.
Fig. 8 is the synoptic diagram of an example of structure of the medical information management network system of expression embodiment 2.
Fig. 9 is the synoptic diagram of an example of structure of the medical information management network system of expression embodiment 3.
Figure 10 is the block diagram of summary structure example of the work station of expression embodiment 3.
Figure 11 is the synoptic diagram of an example of the structure of example in the past of independent (stand alone) mode of expression.
Figure 12 is the synoptic diagram of an example of the structure in the past of expression medical information management network system.
Description of reference numerals
1: subject; 2: capsule type endoscope; 3, R: receiving system; 4, A~D: work station; S, T: managing medical information server; N, N1, N2: network.
The specific embodiment
Below, describe the preferred implementation of medical information management network system involved in the present invention in detail with reference to accompanying drawing.The invention is not restricted to each embodiment, as long as in the scope that does not break away from main idea of the present invention, just can carry out various distortion, the present invention is not limited to each embodiment.
(embodiment 1)
Before the medical information management network system to present embodiment 1 describes, the summary of capsule-type endoscope system is described.Fig. 1 is the sketch map of an example of the related capsule-type endoscope system of expression embodiments of the present invention 1.As shown in Figure 1, capsule-type endoscope system 10 possesses: as the capsule type endoscope 2 of subject introducing device, it takes the tested in-vivo image of subjects 1 such as patient; Receiving system 3, it receives in the subject of subjects 1 image information and stores from this capsule type endoscope 2; Work station 4, it obtains by image information in the subject of the subject 1 of receiving system 3 receptions and storage and shows and other predetermined process; And the recording medium 5 of mobile model, its data that are used to carry out between receiving system 3 and the work station 4 transmit.
Capsule type endoscope 2 is used to take the in-vivo image of subject 1, has camera function and radio communication function in the inside of the capsule-type housing of the internal organs inside that can import to subject 1.Specifically, after the oral area swallowable capsule type endoscope 2 of subject 1, the vermicular movement of this capsule type endoscope 2 by internal organs etc. taken in-vivo image successively with the interval (being the interval with 0.5 second for example) of regulation when move the internal organs inside of subject 1.Then, 2 pairs of reception device external 3 of capsule type endoscope successively wireless transmission comprise the in-subject information of the in-vivo image of subject 1.In addition, capsule type endoscope 2 has the capsule ID that is used for determining self, to the additional capsule ID of the picture signal that comprises captured view data.This capsule type endoscope 2 is wirelessly transmitted to reception device external 3 with the capsule ID of self successively with the view data of in-vivo image etc.
Receiving system 3 is used for receiving the in-vivo image of the subject of being taken by capsule type endoscope 21 and storing by wireless.Specifically, receiving system 3 has a plurality of reception antenna 3a~3h, by the subject 1 that capsule type endoscope 2 is imported to internal organs inside (carrying) this receiving system 3 is installed.Receiving system 3 receives picture signal by capsule type endoscope 2 wireless transmissions successively by reception antenna 3a~3h, obtains view data and capsule ID that this picture signal comprises.In addition, receiving system 3 has recording medium 5, and the in-vivo image and the capsule ID of the subject 1 that will receive from capsule type endoscope 2 are kept at this recording medium 5.
Work station 4 has the function as image display device,, obtains the various data such as in-vivo image of subject 1 by recording medium 5 that is, and with these various data show of being obtained on display.4 pairs of work stations show by the in-vivo image of the subject 1 that recording medium 5 gets access to.User such as doctor or nurse comes subject 1 is diagnosed by the in-vivo image of observing the shown subject 1 of (inspection) work station 4.In addition, work station 4 has the report of making diagnosis report and makes function, and this diagnosis report of made is presented on the display, records user's the note of the diagnostic result etc. of expression subject 1 in this diagnosis report.
Recording medium 5 is recording mediums of mobile model, is used to carry out the transfer of data between above-mentioned receiving system 3 and the work station 4.Specifically, recording medium 5 can mount and dismount for receiving system 3 and work station 4, has to carry out the output of data and the structure of record when both being inserted installation.This recording medium 5 insertions are being installed under the situation of receiving system 3, the in-vivo image of the subject 1 that 5 pairs of this recording mediums are received from capsule type endoscope 2 by receiving system 3 etc. carries out record, these recording medium 5 insertions are being installed under the situation of work station 4, and this recording medium 5 sends to work station 4 with the record data such as in-vivo image of subject 1.In addition, in the present embodiment, carry out the transmission of the data between receiving system 3 and the work station 4 by the recording medium 5 of mobile model, a part that recording medium 5 is considered as receiving system 3 is handled, but also receiving system 3 can be directly connected to the transmission of carrying out data on the work station 4.
The capsule ID of the capsule type endoscope 2 that the various data that in addition, aforementioned recording medium 5 write down for example are the temporal informations (taking the moment, the time of reception etc.) of each in-vivo image of being comprised among the in-vivo image group, these in-vivo images group of subject 1, take the in-vivo image group of this subject 1, the patient information of subject 1, the inspection message of subject 1 etc.At this, the patient information of subject 1 is the customizing messages that is used for determining subject 1, for example is patient's name, patient ID, birthdate, sex, age etc. of subject 1.In addition, the inspection message of subject 1 is the capsule type endoscope inspection determining subject 1 the is implemented customizing messages of (be used for that capsule type endoscope 2 is imported to internal organs inside and come inspection that internal organs inside is observed), for example is inspection ID, check data etc. as the different inspection identifying information by each inspection.
The medical information management network system that uses the present embodiment 1 that this receiving system 3 (comprising recording medium 5), work station 4 constitute is described.Fig. 2 is the synoptic diagram of an example of structure of the medical information management network system of expression present embodiment 1.This medical information management network system 20 is made up and is formed by many managing medical information server S, T, receiving system R, many work station A~D and network N 1, N2.At this, be made as managing medical information server S and work station A, B and be connected on the network N 1, managing medical information server T and work station C, D are connected on another network N 2.
The managing medical information server S is used for above-mentioned patient information, inspection message by inputs such as client terminals are managed, and the diagnostic result from work station A, B transmission is managed.Managing medical information server T is independent of the managing medical information server S and above-mentioned patient information, inspection message by inputs such as client terminals is managed, and be independent of the managing medical information server S and to from work station C, D the transmission diagnostic result manage.In addition, utilize the Internet, in-house network (intranet), wired lan or WLAN to wait and realize network N 1, N2.And work station A~D is equivalent to above-mentioned work station 4, and receiving system R is equivalent to above-mentioned receiving system 3, establishes to comprise recording medium 5.
At this, the summary structure example of managing medical information server S, T is described with reference to Fig. 3.Fig. 3 is the block diagram of the summary structure example of expression managing medical information server S, T.Managing medical information server S, T possess control part 31, data base 32 and interface (I/F) 33.Interface 33 is used for managing medical information server S, T are connected to network N 1, N2.Control part 31 has 31a of management department and the 31b of transmission process portion.The 31a of management department carries out following control: will be saved in that patient information the data base 32 is preserved hurdle 32a, inspection message is preserved hurdle 32b from patient information, the inspection message of the inputs such as client terminal of outside.In inspection message, give inspection ID, in each managing medical information server S, T, give independently and check ID as different inspection identifying information by each inspection.In addition, the 31a of management department carries out following control: will be saved in diagnostic result preservation hurdle 32c the data base 32 explicitly from diagnostic result and patient information, the inspection message etc. of work station A~D side transmission by network N 1, N2.
And, the managing medical information server S of present embodiment, T are endowed as by each managing medical information server S, T and the server ID of different server identifying informations, will give the server ID that is saved among the data base 32 to self server ID and preserve among the hurdle 32d under the control of the 31a of management department.At this, about server ID, can generate server ID by the combination of hardware, also can use Network Recognition information (for example, IP address, MAC Address etc.) as server ID.And,, then also can manage by manual setting if between each managing medical information server, do not repeat.
In addition, the 31b of transmission process portion in the control part 31 is used to carry out following processing: under the situation of work station side request transmission patient information, inspection message, when the work station to its retrieval source transmits patient information, inspection message, transmit checking that ID and the server ID of self append in patient information, the inspection message in comparable data storehouse 32.
Then, the work station 4 (structure of A~D) is described.Fig. 4 is the expression work station 4 (block diagram of the summary structure example of A~D).Work station 4 has: input part 41, and it imports various information; Display part 42, the in-vivo image of its demonstration subject 1 etc.; And clamping mouth (I/F) 43, it inserts installs recording medium 5.In addition, work station 4 has: interface (I/F) 44, and it is used for carrying out information communication by network N 1, N2 and managing medical information server S, T; Storage part 45, the various data such as in-vivo image of its storage subject 1; And control part 46, its each structural portion to work station 4 is controlled.
Use input equipments such as keyboard and mouse to realize input part 41.Input part 41 is input to control part 46 according to the input operation of being undertaken by the user with various information.Various display such as use liquid crystal display are realized display part 42, the various information that this display part 42 shows by control part 46 indicated numbers.Display part 42 for example shows the in-vivo image of the captured subject 1 of capsule type endoscope 2, diagnosis report of subject 1 etc.Can insert among the card I/F 43 with mounting and dismounting recording medium 5 is installed, card I/F 43 carries out the recording medium 5 of installation and the input and output of the data between the control part 46 of inserting.Interface 44 communicates with managing medical information server S, T by network N 1, N2 and is connected, and comes to carry out information communication with this managing medical information server S, T.
The various storage mediums that use RAM, EEPROM, flash memory (Flash Memory) or hard disk etc. can preserve data are realized storage part 45 with rewriteeing.Storage part 45 storages will send to control part 46 by the various data of control part 46 indication storages by the data that control part 46 indications are read from the various data of being stored.This storage part 45 has the preservation hurdle 45a~45c of the patient information preserved respectively from the transmission of medical information management server S, T side, inspection message, server ID, and has preservation from the preservation hurdle 45d of receiving system 3 (R) (recording medium 5) side image transmitted data group and the preservation hurdle 45e that preserves the case data group of a plurality of subjects.The case data of a subject that is comprised in the case data group comprise temporal information, diagnosis report information of in-vivo image group, patient information, inspection message, each in-vivo image of this subject etc.
Each structural portion of 46 pairs of work stations 4 of control part (input part 41, display part 42, card I/F 43, interface 44 and storage part 45) is controlled, and controls the input and output of the signal between each structural portion.In addition, control part 46 is read the case data of desirable subject according to the indication information of being imported by input part 41 from the case data group, and the in-vivo image group of the subject that is comprised in these case data that display part 42 demonstrations are read etc.The control part 46 of this present embodiment 1 possesses the 46a of transmission process portion, report handling part 46b and ID judging part 46c.The 46a of transmission process portion is used to carry out following processing: to receiving system 3 (R) transmission patient information, inspection message the time, with reference to storage part 45, the server ID of checking ID and retrieval destination appended in patient information, the inspection message transmit.
In addition, report handling part 46b brings into play function as report preparing department,, according to the case data of the subject of selecting etc., the diagnosis report of this subject is made as diagnostic result from the case data group that is.Report handling part 46b for example makes the diagnosis report that publishes following content: the capsule ID of part or all image of selecting from the in-vivo image group of subject 1, the in-vivo image group's who takes this subject 1 capsule type endoscope 2, the patient information of subject 1 and the diagnostic result of subject 1 etc.
And, ID judging part 46c is used to keep the server ID of the current managing medical information server that is connected with the work station of self, for refuse with transmit this server ID that preservation keeps to some extent beyond the receiving system 3 (R) of other server ID be connected, be controlled at check can be after finishing from receiving system 3 sides via work station to the action that conducts interviews of managing medical information server side.
The structure of receiving system 3 (R) (recording medium 5) is described in addition.Fig. 5 is the block diagram of the summary structure example of expression receiving system 3 (R) (recording medium 5).Receiving system 3 has: acceptance division 51, and it receives the picture signal by capsule type endoscope 2 wireless transmissions; Image processing part 52, it generates the in-vivo image of subject 1 according to this picture signal; Storage part 53, it inserts installs aforementioned recording medium 5; And control part 54, its each structural portion to receiving system 3 is controlled.At this, the storage part 53 that is equivalent to recording medium 5 has preservation hurdle 53a, 53b, the 53c that the patient information of setting from the transmission of work station side, inspection message (comprise and check ID), server ID are preserved before checking, and have to along with the execution of checking from the preservation hurdle 53d that the picture data package that capsule type endoscope 2 obtains is preserved.
In this system structure, come the action control example of illustrative system with reference to Fig. 2.At first, before carrying out splanchnoscopy, by client terminal etc. to the managing medical information server S input set (step S101) such as patient information, inspection messages.Managing medical information server T side is also identical.Then, before carrying out splanchnoscopy, work station A retrieves patient information, inspection message via the network N 1 visit managing medical information server S that self connected, and obtains desired patient information, inspection message (step S102) by the transmission of carrying out from this managing medical information server S thus.When transmitting patient information, inspection message in step S102, the 31b of the transmission process portion additional examination ID and the server ID of self of managing medical information server S are transmitted.
The work station A that accepts this transmission process will be transferred to by patient information, the inspection message that transmission is obtained and become the receiving system of object R (step S103).When transmitting patient information, inspection message in step S103, the additional inspection ID and the server ID of preserving transmitted of the 46a of transmission process portion of work station A transmitted.Thus, in the storage part 53 of receiving system R, preserve each information of patient information, inspection message (comprise and check ID), server ID.Then, after work station A unloads receiving system R (recording medium 5) and is installed to this receiving system R on the body surface of subject 1, the image (step S104) of the most about 8 hours parts (about 60000) that this receiving system R storage sends over from the capsule type endoscope of being swallowed.After the inspection that utilizes capsule type endoscope 2 to carry out finishes, unload receiving system R from subject and also this receiving system R is reconnected on the work station.
At this, consider the situation that receiving system R (recording medium 5) is connected with work station C.In this case, the ID judging part 46c of work station C maintains the server ID of the managing medical information server T that is connected with the work station C of self, the server ID of being preserved by the receiving system R that is connected (recording medium 5) transmission is the server ID that the managing medical information server S is used, because this server ID is inconsistent with the server ID that is kept, therefore as * symbol shown in, refuse that receiving system R (recording medium 5) is connected to work station C and come transmit image data (step S105).Receiving system R (recording medium 5) is also identical with the situation that work station D connects.At this moment, make the display part 42 of work station C show that the warning of the inconsistent meaning of expression server ID shows.Receiving system R (recording medium 5) is also identical with the situation that work station D connects.
On the other hand, consider the situation that receiving system R (recording medium 5) is connected with work station B.In this case, the ID judging part 46c of work station B maintains the server ID of the managing medical information server S that is connected with the work station B of self, the server ID of being preserved by the receiving system R that is connected (recording medium 5) transmission is the server ID that the managing medical information server S is used equally, because this server ID is consistent with the server ID that is kept, thus from receiving system R (recording medium 5) to work station B transmit image data (step S106).In work station B, report handling part 46b is made into diagnosis report as diagnostic result (step S107), transmits diagnosis report (step S108) by network N 1 to the managing medical information server S.In the managing medical information server S, the diagnosis report that is transmitted and the inspection ID that self holds etc. is carried out storage administration explicitly.Receiving system R (recording medium 5) is also identical with the situation that work station A connects.
By utilizing server ID like this, can grasp managing medical information server all the time as the supply source of patient information, inspection message, thereby can avoid diagnostic result transmission reliably and be saved in the situation of the managing medical information server beyond the supply source of patient information, inspection message in the transmit stage of transmitting to work station, thus can be in as the managing medical information server of the supply source of patient information, inspection message the pairing diagnostic result of management.
(embodiment 2)
Below, the medical information management network system of present embodiment 2 is described with reference to Fig. 6~Fig. 8.The Reference numeral that the part identical or suitable with the part of explanation in the embodiment 1 is additional identical is represented.Fig. 6 is the block diagram of summary structure example of managing medical information server S, the T of expression present embodiment 2, Fig. 7 is the block diagram of the summary structure example of expression receiving system R, and Fig. 8 is the synoptic diagram of an example of structure of the medical information management network system of expression present embodiment 2.
In present embodiment 2, replace work station and in the control part 31 of managing medical information server S, T side, possess ID judging part 31c, and receiving system R possesses the 54a of transmission process portion in control part 54.The 54a of transmission process portion be used for after check finishing in any work station A~D transmission subject during image information the inspection ID and the server ID of the additional preservation of transmission in advance transmit.In addition, to managing medical information server S, T transmission diagnostic result the time, the 46a of transmission process portion among work station A~D also brings into play the inspection ID of the additional preservation of transmission in advance and the function that server ID is transmitted.
In addition, ID judging part 31c in the control part 31 is used to judge whether the server ID from work station A~D side notice is correct when the transmission diagnostic result, under the incorrect situation of server ID, notify this meaning, and for refuse to receive (uploading) diagnostic result, be controlled to check from this work station can be after finishing from the receiving system side via work station to the action that conducts interviews of self managing medical information server side.
In this system structure, come the action control example of illustrative system with reference to Fig. 8.This example is represented the example identical with Fig. 2, and the processing till step S104 is identical with the situation of Fig. 2.
At this, after checking end, consider the situation that receiving system R (recording medium 5) is connected with work station C.In this case, the 54a of transmission process portion of receiving system R is when image information in work station C transmission subject, and inspection ID and server ID that additional transmission is in advance preserved are transmitted (step S115).In work station C, report handling part 46b is made into diagnosis report as diagnostic result (step S116), transmits diagnosis report (step S117) by network N 2 to managing medical information server T.The ID judging part 31C of managing medical information server C judge in the transmission of diagnosis report additional server ID whether be the correct server ID consistent with the server ID of self.In this case, to transmit additional server ID be the server ID that the managing medical information server S is used, because this server ID and the server ID of self are inconsistent, therefore ID judging part 31C is shown in * symbol, refusal from work station C to managing medical information server T transmission (uploading) diagnostic result (step S118).At this moment, make the display part 42 of work station C show that the warning of the inconsistent meaning of expression server ID shows.Receiving system R (recording medium 5) is also identical with the situation that work station D connects.
On the other hand, consider the situation that receiving system R (recording medium 5) is connected with work station B.In this case, when image information in work station B transmission subject, inspection ID and server ID that the additional transmission in advance of the 54a of transmission process portion of receiving system R is preserved are transmitted (step S121).In work station B, report handling part 46b is made into diagnosis report as diagnostic result (step S122), transmits diagnosis report (step S123) by network N 1 to the managing medical information server S.The ID judging part 31C of managing medical information server B judge in the transmission of diagnosis report additional server ID whether be the correct server ID consistent with the server ID of self.In this case, to transmit additional server ID be the server ID that the managing medical information server S is used, because it is consistent with the server ID of self, therefore in the managing medical information server S, the diagnosis report that is transmitted and the inspection ID that self holds etc. is carried out storage administration (step S124) explicitly.Receiving system R (recording medium 5) is also identical with the situation that work station A connects.
By utilizing server ID like this, can grasp managing medical information server all the time as the supply source of patient information, inspection message, thereby can avoid diagnostic result transmission reliably and be saved in the situation of the managing medical information server beyond the supply source of patient information, inspection message in the embarkation phase of uploading to the managing medical information server, can be in as the managing medical information server of the supply source of patient information, inspection message the pairing diagnostic result of management.Particularly, can receiving system be connected to arbitrarily samely and observe the view data that receiving system is stored on the work station, therefore become the good system of easy-to-use degree.
(embodiment 3)
Below, the medical information management network system of present embodiment 3 is described with reference to Fig. 9 and Figure 10.The Reference numeral that the part identical or suitable with the part of explanation in the embodiment 1,2 is additional identical is represented.Fig. 9 is the synoptic diagram of an example of structure of the medical information management network system of expression present embodiment 3, and Figure 10 is the work station 4 (block diagram of the summary structure example of A~D) of expression present embodiment 3.
In present embodiment 3, as shown in Figure 9,, suppose that many managing medical information server S, T are connected on the common network N and the situation of construction system as medical information management network system.With this system structure accordingly, (A~D) has server ID group's preservation hurdle 45f to work station 4 in storage part 45, possess ID search part 46d and replace ID judging part 46c in control part 46.
Server ID group's preservation hurdle 45f stores the hurdle of managing medical information server S, T server ID separately accordingly with many managing medical information server S, the T that are connected on the network N.ID search part 46d is used for controlling when making after the transmission of accepting image information in the subject from receiving system R to managing medical information server side transmission diagnostic result from preserving the managing medical information server that server ID group's retrieval that hurdle 45f kept is endowed the server ID consistent with the server ID of transmit preservation, and transmits diagnostic result to this managing medical information server that is retrieved.
In this system structure, come the action control example of illustrative system with reference to Fig. 9.This example is represented the example identical with Fig. 2, and the processing till step S104 is identical with the situation of Fig. 2.
At this, after checking end, consider the situation that receiving system R (recording medium 5) is connected with work station C.In this case, with the situation of Fig. 8 similarly, the 54a of transmission process portion of receiving system R is when image information in work station C transmission subject, inspection ID and server ID that additional transmission is in advance preserved are transmitted (step S115).In work station C, report handling part 46b is made into diagnosis report as diagnostic result (step S116).Then, the ID search part 46d of work station C is to managing medical information server side transmission diagnostic result the time, retrieval is endowed the managing medical information server of the server ID consistent with the server ID of transmit preservation from preserve the server ID group that hurdle 45f kept, retrieve the managing medical information server S at this, and to this managing medical information server S transmission diagnostic result (step S131) that is retrieved.In the managing medical information server S, the diagnosis report that is transmitted and the inspection ID that self holds etc. is carried out storage administration explicitly.Receiving system R (recording medium 5) is also identical with the situation that other work station A, B, D connect.
By utilizing server ID like this, can grasp managing medical information server all the time as the supply source of patient information, inspection message, thereby can avoid diagnostic result transmission reliably and be saved in the situation of the managing medical information server beyond the supply source of patient information, inspection message, can be in as the managing medical information server of the supply source of patient information, inspection message the pairing diagnostic result of management.
Utilizability on the industry
As mentioned above, medical information management network system involved in the present invention is used to Improve the convenience of image display device input patient information, inspection message and With the situation of managing medical information server constructing system, be specially adapted to make work For the managing medical information server of the supply source of patient information, inspection message reliably Preserve the situation of diagnostic result.

Claims (15)

1. medical information management network system is characterized in that possessing:
The managing medical information server, it is given the server identifying information independently, patient information, inspection message and diagnostic result is managed,
Receiving system, it is used to store by tested in-vivo image that is directed to tested intravital subject introducing device shooting and the information that receives from this subject introducing device; And
Image display device, it is connected with above-mentioned managing medical information server by network, and obtains tested in-vivo image that is stored in the above-mentioned receiving system and the information that receives from above-mentioned subject introducing device.
2. medical information management network system according to claim 1 is characterized in that,
Above-mentioned server identifying information is the information that generates according to above-mentioned managing medical information hardware of server information.
3. medical information management network system according to claim 2 is characterized in that,
Above-mentioned hardware information is a MAC Address.
4. medical information management network system according to claim 1 is characterized in that,
Above-mentioned server identifying information is the IP address.
5. medical information management network system according to claim 1 is characterized in that,
Before importing to above-mentioned subject introducing device in the subject, above-mentioned image display device is set server identifying information, patient information or the inspection message that obtains from the above-mentioned managing medical information server that connects by above-mentioned network in above-mentioned receiving system, after checking, above-mentioned image display device obtains server identifying information, patient information or inspection message simultaneously when obtaining the information of tested in-vivo image and above-mentioned subject introducing device from this receiving system.
6. medical information management network system according to claim 5 is characterized in that,
The server identifying information that above-mentioned image display device storage is obtained from above-mentioned managing medical information server.
7. medical information management network system according to claim 6 is characterized in that,
Above-mentioned image display device is when being connected with the above-mentioned receiving system with server identifying information that this image display device do not store, and refusal receives information, server identifying information, patient information or the inspection message of tested in-vivo image, above-mentioned subject introducing device from this receiving system.
8. medical information management network system according to claim 6 is characterized in that,
Above-mentioned image display device is warned demonstration to the user when being connected with the above-mentioned receiving system with server identifying information that this image display device do not store.
9. medical information management network system according to claim 5 is characterized in that,
Above-mentioned image display device is to above-mentioned managing medical information server transmission diagnostic result.
10. medical information management network system according to claim 9 is characterized in that,
Above-mentioned image display device transmits the server identifying information that obtains from above-mentioned receiving system simultaneously when above-mentioned managing medical information server transmits diagnostic result,
Above-mentioned managing medical information server is under server identifying information that is transmitted and the inconsistent situation of server identifying information that self kept, and rejection is from the data of above-mentioned image display device.
11. medical information management network system according to claim 9 is characterized in that,
Above-mentioned image display device transmits the server identifying information that obtains from above-mentioned receiving system simultaneously when above-mentioned managing medical information server transmits diagnostic result,
Above-mentioned managing medical information server is warned above-mentioned image display device under server identifying information that is transmitted and the inconsistent situation of server identifying information that self kept.
12. according to claim 6 and 9 described medical information management network systems, it is characterized in that,
In the medical information management network system that has a plurality of above-mentioned managing medical information servers with different server identifying informations,
The above-mentioned managing medical information server of the server identifying information that above-mentioned image display device retrieval maintenance is identical with the server identifying information that this image display device is kept, and this managing medical information server transmission diagnostic result to retrieving.
13. medical information management network system according to claim 1 is characterized in that,
The information that receives from above-mentioned subject introducing device is the individual identification information of this subject introducing device.
14. medical information management network system according to claim 1 is characterized in that,
Above-mentioned diagnostic result is part or all image of selecting the tested in-vivo image that obtains from above-mentioned receiving system.
15. medical information management network system according to claim 1 is characterized in that,
Above-mentioned diagnostic result is the report that records user's note.
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